Bockstahler, Dyann K
Bockstahler, Dyann K is an individual health care provider with primary practice located at 3624 W 216Th Street , Matteson IL 60443-2713. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bockstahler, Dyann K can be contacted via phone (708) 481-4080.Contact Information
Primary practice address
3624 W 216Th Street
Matteson IL 60443-2713
Phone: (708) 481-4080
Fax: (708) 481-7725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Illinois |
Profile Details
| NPI number | 1922192814 |
|---|---|
| LBN Legal business name | Bockstahler, Dyann K |
| Credentials | MSW LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922192814 | NPPES |
| Other | 01636410 | BCBS |
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